HomeMy WebLinkAbout36459-ZTown of Somhold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
6/16/2011
No: 34987
Date: 6/16/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ACCESSORY
1350 WEST COVE RD CUTCHOGUE,
Sec/Block/Lot: 111 .-5-2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/13/2009 pursuant to which Building Permit No. 36459
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
Lot No.
filed hi this officed dated
dated 6/7/2011
accessory tennis court as applied for.
The certificate is issued to
Gluckman, Thomas & Gluckman, Roby
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36459
Permission is hereby granted to:
THOMAS & ROBY GLUCKMAN
411 FIFTH AVE - 2ND FLOOR
Date: 6/7/2011
NEW YOR, NY 10016
To:
INSTALLATION OF AN ACCESSORY TENNIS COURT IN THE FRONT YARD AS APPLIED
FOR. REPLACES EXPIRED BP # 31871
At premises located at:
1350 WEST COVE RD CUTCHOGUE
SCTM # 473889
Sec/Block/Lot # 111.-5-2
Pursuant to application dated
To expireon 12/612012.
Fees:
3/13/2009 and approved by the Building Inspector.
PERMIT RENEWAL
CO - ADDITION TO DWELLING
Total:
$50.00
$50.00
$100.00
Building Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
~YOt~,-~ COMPLETION OF THE WORK AUTHORIZED)
PERMITNO.~ ~ 34~4~ Z Date MARCH 13, 2009
Permission is hereby granted to:
THOMAS & ROBY GLUCKMAN
411 FIFTH AVE - 2ND FLOOR
NEW YORK,NY 10016
for :
INSTALLATION OF AN ACCESSORY TENNIS COURT IN THE FRONT YARD AS
APPLIED FOR. REPLACES EXPIRED BP # 31871
at premises located at 1350 WEST COVE RD CUTCHOGUE
County Ta~ Map No. 473889 Section 111 Block 0005 Lot NO. 002
pursuant to application dated MARCH 13, 2009 and approved by the
Building Inspector to expire on SEPTEMBER 13, 2010.'
Fee $ 100.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
~ ~ ~O ~j COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 71 Z Date MARCH 28, 2006
Permission is hereby granted to:
T & R GLUCKMAi~
C/O C. ARM-P.O. 1254
SOUTHOLD,NY 11971
for :
INSTALLATION OF AN ACCESSORY TENNIS COURT IN THE FRONT YARD AS
APPLIED FOR
at premises located at 1350 WEST COVE RD CUTCHOGUE
County Tax Map No. 473889 Section 111 Block 0005 Lot No. 002
pursuant to application dated MARCH 22, 2006 and approved by the
Building Inspector to expire on SEPTEMBER 28, 2007.
Fee $ 75.00
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP/
This application must be filled in by typewriter or ink and submitted to the Building
JUN - 9 2011
NC
BI DG DEPI.
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final ApprovaI from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $.25 I"~r'3 rD; ~ O--~DC-4-f~L~-
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Property: /' ~5-0
House No.
Owner or Owners of Property: ~-~0 ,i, .4-_%
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building:
Street
Subdivision
Permit No. '3 ~ ~/~- 5 Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
(check one)
Hamlet
/11 Block ~ Lot 711._
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applic~n-r~ignature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE.IIESISTANT P~IETRATION
REM~qKS: ~
DATE
INSPECTOR
FO~DATION
(1ST)
FO~ATION (2ND)
ROUGH ~G & ~
PL~B~G ~ ~
~SULATION PER N.Y. ~
STATE ENERGY CODE
~D~ION~ COMMENTS ~
-. ,~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Exanfined
Approved
Disapproved a/c
~;~, 20 OG
Expiranon
?
'q _, :007
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLiS'I
Do you have or need the following, before applying"
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to: r_...C.t~ac.~ ~ _
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
~C~'r ,20o(,,
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building h~spector may authorize, in writing, the extension of the permit lbr an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
ALL OI~N&,eTRUCTION SHALL
M~Er 'I'I~IREMENT8 OF THE
C~OF NEW YORK STATE.
RETAIN STORM WATER RUNOFF
(Signature of applicant or name, if a corporation)
1~'l~ ~ ~oo"'F~o~.> Ilq?/
(Mailing address of applicant)
P S 4'- ~eer'
State whether applicant is own~F~l~t~.~, ~fi~ ,general
Name of owner of premises
If applicant is a coFporation, signature of duly __a.ut.hozized officer
OCCUPANCY OR
contracto~cLelectrician, plumber or builder
A?P OVED AS/' OTED
DATEr
' (as on the tax roll or ]at [~=u~[D~NZ DEPARTMENT AT
~ .... ~ 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION
(Name and title of coqj Eo( cBNLAWFUL
Builders License No. WffHOUT CE F!F!CATE
Plumbers License No. _ ~ ~., , ~ ..... ~,
Electricians License No.~ U~UUff/'~I~I~
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
FOR POURED CONCRETE
2. ROUGH . FRAMING & PLUMBING
3. INSULATION
4. FINAL . CONSTEL ~.C5I MUST
BE COMPL? ~, ,~.
,ALL CONSTRuc hL ,SHALL MEET THE
REQUIREMEN)s UF- F,~dO,32E2 OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION..ERRO~:~
Hamlet
County Tax Map No. 1000
Subdivision
(Name)
Section
, Lot
Lot
Block o~
Filed Map No.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~---~2. t:=~,~,~,ff
b. Intended use and occupancy ~f,~c,~
3. Nature of work (check which applicable): New Building
Removal Demolition
5.
Repair
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work -I~t~MMi5 ~:>...,~r' ¥,/~' ~
(Descr/piion)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front t4/~,
Height Number of Stories
Rear _Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front ~.6,'7 ~ Rear ,~>7
Rear _Depth
Depth ~47o "*/~ -r'o f5g~5.' ~2-
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_g~
13. Will lot be re-graded? YES ~ NO Will excess fill be removed from premises? YES__ NO 4~
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ,~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES ~ NO__
* IF YES, D.E.C. PERMIIS MAY BE REQUIRED. iJ~H( ,~ J,,,h]'~00 .iJ~
16. Provide survey, to scale, wit, accurate foundation pla]l~d;~. ~i]l~ l~[~40nes.
17. If elevation at any point on property is at 10 feet'la'eb!~l~/,l:l~r~tx~,l~llii~lillliical data on survey.
STATE OF NEW YORK) 3~.~ ]~ ~".WO ~ ]~ ~O
ss:
COL~TY OF )
o_4g.a~t~ ~. ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~(...,~:::~t~'
(Contractor, Agent, Corporate Of~ "-t .......
of said owner or owners, and is duly authorized to perfor~E~have performed tM,said work and to make and file this application:
that all statements contained in this application are tree t~'thd'~est of his knowledge and b~l~f; and that the work will be
pertbrmed in the manner set tbrth in the application filed therewith.
20 06,
BONNIEJ. DOROSKI
Notap/Public, State Of New Y0~
No. 01D06095328, Suffolk County
Term Expires Jul}, ?, 20_/~_~
Signature of Applicant
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CERTIFIED
SURVEY OF PROPERTY
SITUA TED A T
NASSAU POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-111-05-02
SCALE 1"~30'
JANUARY 22, 2002
APRIL 6, 2002 ADDED PROPOSED PATIO
AUGUST 7, 2002 ADDED PROPOSED 2nd STORY ADDITIONS
AUGUST 4-, 2004 UPDATE SURVEY
NOVEMBER 24, 2004 LOCATE DRIVEWAY, NEW FENCE & SET
STAKES FOR PROPOSED TENNIS COURT
AREA = 184,188.27 sq. ft.
(TO TIE LINE) 4.228 ac.
TO:
ROBY GLUCKMAN
THOMAS GLUCKMAN
HSBC MORTGAGE CORPORATION (USA)
INTER-COUNTY ABSTRACT CORP.
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
TITLE No. 5235
NOTES:
1. THIS PROPERTY IS SHOWN AS PART OF PROPERTY
OF CLARA BARCLAY & PART OF PROPERTY OF C,H, MUNClE
A~ENDED MAP A OF NASSAU POINT
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON AUGUST 16, 1922 AS FILE No. 156
2. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: ~
EXISTING CONTOUR LINES ARE SHOWN TNUS:---- 50
TEST HOLE DATA
O'EST HOLE DUG BY ~ ON DECEMBER 10, 2001)
OL
N,YS. Lic. No. 49fi6~
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD. IF
ANY, NOT SHOWN ARE NOT GUARANTEED,
Joseph
Lend
A. Ingegno
Surveyor
PHONE (651)727-2090 Fax (651)727-1727
~1-559D
09'20"
-- ~LS 88°$9'50''
TIE
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m
C)
°58 'ZO
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¢.
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S
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///
,29.3.0O'
TEST HOLE DATA
17'
CERTIFIED
SURVEY OF PROPERTY
SITUATE
NASSAU POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-111-05-02
SCALE 1"=$0'
JANUARY 22, 2002
APRIL 6, 2002 ADDED PROPOSED PATIO
AUOUST 7, 2002 ADDED PROPOSED 2nd STORY ADDITIONS
AUGUST 4, 2004 UPDATE SURVEY
NOVEMBER 24, 2004 LOCATE DRIVEWAY, NEW FENCE & SET
STAKES FOR PROPOSED TENNIS COURT
OCTOBER 25, 2006 ADDED TOPOGRAPHICAL SURVEY
JUNE 15, 20~1 FINAL SURVEY ON TENNIS COURT
AREA = 184,188 sq. ff.
(TO TIE LINE) 4.228 ac.
TO:
ROBY GLUCKMAN
THOMAS OLUCKMAN
HSBC MORTGAGE CORPORATION (USA)
INTER-COUNTY ABSTRACT CORP.
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW
TITLE Ne. 5255
YORK
NOTES'
1. THIS PROPERTY IS SHOWN AS PART OF PROPERTY
OF CLARA BARCLAY & PART OF PROPERTY OF C,H. MUNClE
AMENDED MAP A OF NASSAU POINT
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON AUGUST 16, 1922 AS FILE No, 156
2. ELEVATIONS ARE REFERENCED TO 1929 N,D,V,B, DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:~2o
EXISTING CONTOUR LINES ARE SHOWN THUS: ----25
dUN 11~ 2011
BLO6~ DEPI,
PREPARED IN ACCORDANCE WITH THE MINIMUM
N Y,S Lic No 50467
Nathan Taft Corwin III
Land Surveyor
Successor To S[anley J, Isaksan, Jr, L,S Joseph A Ingegno LS
PHONE (831)727-2090 F~x (631)727-1727